Vendor Application Terms Your Contact Info Business Contact Info Other Business Info Review Web Site Terms of Vendor Membership The specified business has a separate professional staff dedicated to the selling of lighting products through distribution channels. The specified business maintains, in the United States of America or the Dominion of Canada, a warehouse, office or similar facility in a physical location, zoned for commercial or industrial purposes by the municipality wherein such facility is located. The specified business has been an existing business entity, in the United States or the Dominion of Canada, for at least three (3) full calendar years prior to the date of application. The specified business will, upon recommendation for NAILD membership, pay the required dues, $2,650 annually, as well as committing to advertising costs of $5,000 per calendar year. The specified business will commit to NAILD membership for 5 years. The specified business must provide 5 references to lighting distributors they work with. NAILD membership is not transferable. Information provided herein will be submitted for review to the NAILD Board of Directors in connection with this application for membership. Information provided herein remains strictly confidential. Your Contact Info Personal First Name * Last Name * Email Address * Phone Number * Job Title * Business Contact Info Business Name * Business Email Address * Phone Number * Website Address Mailing Business Address Line 1 * Business Address Line 2 City * State / Province * Zip / Postal Code * Other Business Info Name of Sole Owner, Partners, or Principal Officers / Directors * Number of Employees * Total Years in Operation * Annual Gross Revenue * Distribution Method * Distributors Manufacturer Reps Both Other Does the Business Sell Directly to End-Users? * Yes No Major Product(s) the Business Manufactures or Supplies * Business Interests (mark all that apply) Advertising Exhibiting at the NAILD Annual Convention Lighting Distributor References Distributor Company #1 * Distributor #1 Contact Name * Distributor #1 Email * Distributor #1 Phone * Distributor #1 Notes Distributor Company #2 * Distributor #2 Contact Name * Distributor #2 Email * Distributor #2 Phone * Distributor #2 Notes Distributor Company #3 * Distributor #3 Contact Name * Distributor #3 Email * Distributor #3 Phone * Distributor #3 Notes Distributor Company #4 * Distributor #4 Contact Name * Distributor #4 Email * Distributor #4 Phone * Distributor #4 Notes Distributor Company #5 * Distributor #5 Contact Name * Distributor #5 Email * Distributor #5 Phone * Distributor #5 Notes Message / Comments Review & Submit Your Contact Info Business Contact Info Other Business Info